Utilization Review Specialist: Clinical Auth & Care Coordination

Avenues Recovery Center; Toms River (NJ); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k) match

Medical, Dental & Vision insurance

AD&D & Life Insurance

Disability options

EAP

Job summary

Avenues Recovery Center is seeking a Utilization Review Specialist for our corporate team in New Jersey. This role focuses on UR authorization, clinical documentation integrity, and continued stay coordination across our nationwide network.

You will collaborate with billing and clinical teams, advocate for appropriate levels of care, and maintain accurate electronic records to ensure payer requirements are met.

Qualifications

• Strong written and verbal communication.
• Excellent interpersonal and collaboration skills.
• Attention to detail and documentation accuracy.
• Ability to manage multiple cases and deadlines.

Responsibilities

• Handle UR and authorization requests via calls, email, and documents.
• Ensure timely approval and continuation of services at the appropriate level of care.
• Support authorization workflows across facilities and coordinate with billing/clinical teams.
• Maintain electronic records of UR activity and communications, ensuring payer requirements are met.

Skills

Strong communication

Interpersonal skills

Documentation accuracy

Case management

Deadline management

Education

High school diploma or GED

Bachelor's degree preferred

Nursing/clinical background preferred

Job description

Avenues Recovery Center is seeking a Utilization Review Specialist for our corporate team in New Jersey. This role focuses on UR authorization, clinical documentation integrity, and continued stay coordination across our nationwide network.

You will collaborate with billing and clinical teams, advocate for appropriate levels of care, and maintain accurate electronic records to ensure payer requirements are met.